| NPI | 1013472026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PARROTT CEO 678-438-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |